Individual
GRACE O. RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D., C.D.E.
Contact information
Practice address
117 W SHORE DR, RICHARDSON, TX 75080-4917
(214) 232-0528
Mailing address
110 E POLK ST, RICHARDSON, TX 75081-4131
(214) 232-0528
(972) 918-0864
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT04219
TX
Other
Enumeration date
08/29/2006
Last updated
03/23/2011
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